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<br />IRRIGATION WELL USAGE REPORT <br /> <br />1. Contract number: 011270 <br />Name: Tommy Thompson <br />Address: 17500 Road 3 Wiggins CO 80654 <br />Well permit number: 049843-F Water court number: W16704 <br />Location: SEl/4 SWl/4 Section 3 Range 60W Township 3N <br />Structure J.D. number: Pump rate (gpm): 1100 <br /> <br />2, Did you pump this well in 2002? yes X no <br />3. Was the well used for use otherthan crop irrigation? yes no 'X <br /> " <br />4, If yes, please describe P lit- <br />5. How many acre-feet of water were pumped during 2002? <br /> <br /> <br />acre feet <br /> <br />a. If you have a flow meter, what is the current flow meter reading? <br />If your flow meter has a multiplier, enter it here <br />Flow meter reads in: Circle one (acre-feet) (gallons) (other) <br /> <br />.JIlt <br />ift- <br /> <br />b. If y,ou do not use a flo~ meter, Wh( other method did )ou use? <br />Descnbe e51-1 ~ Vl'eW 6~Y1Ier <br /> <br />6. How many acres of each crop did you raise with this well during 2002? <br /> <br />Flood <br /> <br />Sprinkler <br /> <br />Other <br /> <br />corn <br />alfalfa <br />small grain <br />sugar beets <br />omons <br />beans <br />other (specify) <br /> <br />00' <br /> <br />7 , Was the well the sole source of water used on these acres? yes ~ no <br /> <br />8, <br /> <br />Otherwater_ <br /> <br />~) {) fie <br /> <br />9. How many KWH did this well use in 2002? ~)11t (h ~5C./ ,PnuJ er-eLi. <br />Date: q - tl 7 - 0 ~ Signature: Q/~"J~ \1Py..a-/ <br /> <br />1 of 1 <br />